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Organization

DT CHANG MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREY RAY CMBS (BILLING MANAGER)
(702) 685-0674
Entity
Organization

Contact information

Practice address
284C E LAKE MEAD PKWY, SUITE 172, HENDERSON, NV 89015-5511
(702) 685-0674
(702) 566-4575
Mailing address
284C E LAKE MEAD PKWY, SUITE 172, HENDERSON, NV 89015-5511
(702) 685-0674
(702) 566-4575

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14597
NV

Other

Enumeration date
05/05/2015
Last updated
05/05/2015
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